| NPI | 1942451703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0900208-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0700385) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2019-08-12 |