| NPI | 1013289511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1101615) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2015-06-15 |