| NPI | 1740550276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.440428-SUPV) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2019-03-14 |