| NPI | 1790476133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2607873) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2207420) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2026-04-27 |