| NPI | 1386995967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1451375) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1201180) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2015-02-11 |