| NPI | 1295004521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500103) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1168334) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2021-11-09 |