| NPI | 1083802961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0900333) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0030893) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2016-02-03 |