| NPI | 1780123570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102733) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1500752) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2021-03-30 |