| NPI | 1750889796 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2103309)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700280)  | 
| 1041C0700X Social Worker, Clinical (Licence: OH I.2103309)  | |
| Enumeration Date | 2018-01-24 | 
| Last Update Date | 2022-09-23 |