| NPI | 1700813862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901555) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-08-14 |