| NPI | 1053606632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13280) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 2304898) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2023-11-02 |