| NPI | 1497911473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1000371) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 0600897) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2011-04-15 |