| NPI | 1609314954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1800841) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S 1303646) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2021-09-16 |