| NPI | 1902152903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500841-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1100845) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2020-07-17 |