| NPI | 1689712564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0005189-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I-0005189) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2025-04-01 |