| NPI | 1700902871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1600240-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 27786) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-03-20 |