| NPI | 1770211930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2207935) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-09-12 |