| NPI | 1710283692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1800887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1000440) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2018-05-18 |