| NPI | 1750871513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102640) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701530) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2022-10-19 |