| NPI | 1407258221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500572-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1500572) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2016-09-02 |