| NPI | 1982189247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I-2405497) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903283) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2025-01-03 |