| NPI | 1083097935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1700495) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1500685) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2019-06-13 |