| NPI | 1639897259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008215A) |
| 1041S0200X Social Worker, School (Licence: OH 22140386) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-10-10 |