| NPI | 1104973817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-0004741 OH LISW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 104987- LICSW) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-08-16 |