| NPI | 1699067496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1302662) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1000896) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2022-08-29 |