| NPI | 1700247830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801070-S) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0901455) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2023-05-18 |