| NPI | 1750863932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2002315-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-01-21 |