| NPI | 1790446698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015350) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-02-21 |