| NPI | 1265780613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1200771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 62853) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2024-08-05 |