| NPI | 1063742773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1200343-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 1200343) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2018-03-17 |