| NPI | 1740705987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I2102902) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1101229) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2021-07-02 |