| NPI | 1508318239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002224) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-1600992) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2022-03-01 |