| NPI | 1922513449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1901811) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1500399) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2019-10-10 |