| NPI | 1639461106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1201522) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1100301) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2013-03-29 |