| NPI | 1285060848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I. 1200372) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2022-04-29 |