| NPI | 1326287319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S2207764) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NY P57285) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2022-06-10 |