| NPI | 1447686167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1600747) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0027523) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2017-03-17 |