| NPI | 1104309244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600720-SUPV) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OH I.1600720) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-11-07 |