| NPI | 1063747160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000108-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1000108) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.0700288) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2011-04-26 |