| NPI | 1619424132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002529-SUPV) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1610364-TRNE) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-04-12 |