| NPI | 1760812077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0700437-SUPV) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OH 20465258) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |