| NPI | 1922280635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901959-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0025536) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2024-11-04 |