| NPI | 1487108148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801052) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600641) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2018-10-13 |