| NPI | 1063842045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 7890-C) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2024-11-12 |