| NPI | 1700495397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2304611) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2004905) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-08-15 |