| NPI | 1376872994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303657-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0031585) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1303657) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2017-01-12 |