| NPI | 1225212871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0005928) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV CP02943017) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2009-06-22 |