| NPI | 1750790424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801257-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1303438) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2024-01-10 |