| NPI | 1093011975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0900964) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2020-04-30 |