| NPI | 1477190791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203377-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2024-08-12 |