| NPI | 1245661818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2102721) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0901506) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2021-09-15 |