| NPI | 1780195289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002406) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701578) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2020-10-19 |