| NPI | 1023558103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600716) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005555) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |