| NPI | 1689830036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000292-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0800237) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1000292) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2015-11-25 |