| NPI | 1164676888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0007482-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I0007482) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2021-05-09 |