| NPI | 1790091262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S0900552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I1201186) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2017-01-12 |