| NPI | 1497737050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800334-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH LSW S 0005246) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2021-10-05 |