| NPI | 1295918886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1101532) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 0700822) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2014-08-26 |