| NPI | 1447757158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1200758) |
| 1041C0700X Social Worker, Clinical (Licence: OH 1200758) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-05-23 |