| NPI | 1205195450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1502336) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 4015) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2016-03-02 |