| NPI | 1508952136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0600052-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-03-08 |