| NPI | 1407001563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH 1101571) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0700801) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2023-05-10 |