| NPI | 1770146821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1802464) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-02-08 |