| NPI | 1609381755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304899) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1500835) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2025-09-22 |