| NPI | 1235380056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I 200774) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2014-01-06 |