| NPI | 1023540317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH i.1000162) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007063A) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |