| NPI | 1134509078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945192) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-1302915) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2018-11-29 |