| NPI | 1366877235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1502016) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1302867) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-08-30 |