| NPI | 1346488921 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1000181-SUPV)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1000181-SUPV)  | 
| Enumeration Date | 2009-02-04 | 
| Last Update Date | 2020-01-28 |