| NPI | 1265621007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.0012132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW020159) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2022-02-08 |