| NPI | 1124327192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102551) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2021-01-14 |