| NPI | 1619413465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002311) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015006716) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2024-03-08 |