| NPI | 1659615581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500390-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1200509) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-03-26 |