| NPI | 1962918797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S-1701353) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2024-05-17 |