| NPI | 1942450663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1201268) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0600598) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2012-10-15 |