| NPI | 1891094686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1100152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0900796) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2011-10-24 |