| NPI | 1790185064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-1700538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S-1500622) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2022-07-21 |