| NPI | 1346365830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000395-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0600095) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-06-22 |