| NPI | 1174805105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I- 005579) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-5579) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2024-03-13 |