| NPI | 1639503162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1201512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH CDCA.060435) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |