| NPI | 1174650964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9150) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I8980) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-02-28 |