| NPI | 1821235243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH S-801120) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WV BP00943291) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2010-04-27 |