| NPI | 1609183532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1200208) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0900879) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2013-03-20 |