| NPI | 1205884731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000313-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 8198) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-01-16 |