| NPI | 1639121668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1.0030945-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0030945) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-11-25 |