| NPI | 1275961211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1303577-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1100292) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2022-08-18 |