| NPI | 1023553443 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: WV AP00944379)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1600061)  | 
| Enumeration Date | 2016-12-20 | 
| Last Update Date | 2016-12-20 |