| NPI | 1902223936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1450647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S. 0900944) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-07-30 |