| NPI | 1003126608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8806) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0800795) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2022-04-06 |