| NPI | 1629377387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.0005610-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010777) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH I0005610) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2025-08-08 |