| NPI | 1619251386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1502367) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S. 0701271) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2021-10-20 |