| NPI | 1164731683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0700744) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2022-04-13 |