| NPI | 1881040459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801219) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1450510) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2018-10-24 |