| NPI | 1184996761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500828) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0029702) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2015-06-17 |