| NPI | 1518017102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0600084-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I 0600084) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-12-04 |