| NPI | 1396239851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801318) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600291) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-07-15 |