| NPI | 1285878710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405712) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222212) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2024-11-07 |