| NPI | 1710286760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1200810-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0800720) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2020-04-07 |