| NPI | 1205062106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700713-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0800848) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2019-08-29 |