| NPI | 1588179394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002083) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701582) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2021-01-04 |