| NPI | 1407324577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1501436) |
| 1041C0700X Social Worker Clinical (Licence: OH I.1901654) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2020-10-01 |