| NPI | 1104075027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1-0007920.SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-0007920.SUPV) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2024-02-05 |