| NPI | 1205234093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1700087) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1451224) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2018-03-17 |