| NPI | 1528551736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2203374) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| 1041C0700X Social Worker Clinical (Licence: S.1803136) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-07-25 |