| NPI | 1861934143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1801167-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0032185) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2021-03-08 |