| NPI | 1407949936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 851-122) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH 5-0005251) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |