| NPI | 1659629574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1451280) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0901497) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2015-01-05 |