| NPI | 1497097125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH L1500524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0901415) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-07-22 |