| NPI | 1316179674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000116.SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0031152) |
| 1041C0700X Social Worker, Clinical (Licence: OH I. 1000116) | |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2024-02-26 |