| NPI | 1790237352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8552) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1500639) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2023-01-30 |