| NPI | 1740410414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0003715) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I 3715) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2020-02-14 |