| NPI | 1043665946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S 0028531) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-11-19 |