| NPI | 1104283399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600718-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 1440265) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2018-05-10 |