| NPI | 1619493889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801381-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1100603) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-11-09 |