| NPI | 1790074417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1302479-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1000757) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2018-10-16 |