| NPI | 1205815362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002369) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW014428) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2024-07-18 |