| NPI | 1982062600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700119) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 1450661) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2022-07-13 |