| NPI | 1467864652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I700342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S. 070044) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2018-03-17 |