| NPI | 1821463910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801051) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600376) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1400141TRNE) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2022-08-29 |