| NPI | 1649451741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0900167-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0600229) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.0900167) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2013-08-16 |