| NPI | 1790054260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1000091) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2021-11-09 |