| NPI | 1568941185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2103085-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2103085) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2023-03-17 |