| NPI | 1881105435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1901856-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1101092) |
| Enumeration Date | 2017-10-22 |
| Last Update Date | 2021-01-31 |