| NPI | 1265762561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1101565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18696) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2018-07-25 |