| NPI | 1538590641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I1700193) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 0008173) |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2019-09-10 |