| NPI | 1073945697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0009521-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2023-04-18 |