| NPI | 1063888444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 4379901) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082580-1) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2017-07-24 |