| NPI | 1104867654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0004690) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I-0004690) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-05-23 |