| NPI | 1073842753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 500095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0900909) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2015-09-14 |