| NPI | 1043635493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700428) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0800334) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2018-03-17 |