| NPI | 1386773638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I0700249) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0021568) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-11-14 |