| NPI | 1770947178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801182) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1500792) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2019-01-22 |