| NPI | 1134466980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1200906) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 083397) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |