| NPI | 1750791083 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1451129)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0700193)  | 
| Enumeration Date | 2014-05-08 | 
| Last Update Date | 2024-01-18 |