| NPI | 1811398522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801022-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1450660) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2022-07-06 |