| NPI | 1770821746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600314) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1600314-SUPV) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2025-12-04 |