| NPI | 1457842304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506865) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1801876) |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2026-07-27 |