| NPI | 1396017448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1200391) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S1000128) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2013-06-13 |