| NPI | 1750931465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405098) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1904350) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2024-01-31 |