| NPI | 1215178041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1302176) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2016-09-27 |