| NPI | 1720499700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S1303029) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 131543) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |