| NPI | 1619582913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2002155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1.2002155) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-01-12 |