| NPI | 1073604229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0700356-SUPV) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 418385) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-09-25 |