| NPI | 1255491205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1500433) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-0024326) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-10-13 |