| NPI | 1083982862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2405676) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 17791) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2024-07-30 |