| NPI | 1427621739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2506932) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2106477) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2025-08-27 |