| NPI | 1295148120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600628) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1440364) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2016-09-01 |