| NPI | 1629566971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801169-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1502459) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-11-06 |