| NPI | 1245782788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S-1200013) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1801066) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2018-09-24 |