| NPI | 1619123288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH 10800151) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I0800151) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2010-07-29 |