| NPI | 1659749570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700675-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-04-07 |