| NPI | 1699269092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH S.1802178) |
| Additional Taxonomies | 104100000X Social Worker (Licence: S.1802178) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-29 |