| NPI | 1215212857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0701011SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0701011) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2015-09-15 |