| NPI | 1841422680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1100155-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0900826) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1100155) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2013-07-29 |