| NPI | 1316141823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0900101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0700209) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-03-25 |