| NPI | 1508394727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002179) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1700491) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2020-10-06 |