| NPI | 1477881381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I1500411-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0800328) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2016-11-30 |