| NPI | 1376877340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1502328) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0031786) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2016-04-25 |