| NPI | 1023306081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1440414) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1100578) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2017-04-10 |