| NPI | 1700863297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-0006016) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 16016) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2012-12-20 |