| NPI | 1134350333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500367) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 5545) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2019-09-05 |