| NPI | 1659992154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203963) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903714) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2022-10-24 |