| NPI | 1669787925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 0013201) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN52114) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |