| NPI | 1730416207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1000467) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1000465) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2016-07-15 |