| NPI | 1962875302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204064) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S. 1502377) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2022-11-29 |