| NPI | 1194827147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I9826) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2514) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-11-19 |