| NPI | 1952762759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203970) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH SS1101115) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2022-10-26 |