| NPI | 1992192561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: I.1901614) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600574) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1400042-TRNE) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-11-11 |