| NPI | 1710364815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801175) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2019-04-09 |