| NPI | 1700591807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2607614) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005000) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2026-01-20 |