| NPI | 1073814323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901640) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007338) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2019-10-18 |