| NPI | 1639687254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901416) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1601196) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-01-18 |