| NPI | 1205050531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I 0700019) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34005271A) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |