| NPI | 1821659806 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203492)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903818)  | 
| Enumeration Date | 2019-06-21 | 
| Last Update Date | 2024-12-17 |