| NPI | 1710417597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002420) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700554) |
| 1041S0200X Social Worker, School (Licence: OH 1700554) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-11-09 |