| NPI | 1558660597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1451201.SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 0027849) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2023-08-04 |