| NPI | 1386929669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1200727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007751) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2012-07-16 |