| NPI | 1720348394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-1450823) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0028114) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2023-06-28 |