| NPI | 1952692725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH 1000836) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1201170-SUPV) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2022-07-13 |