| NPI | 1295029908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006469) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 9117) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.0800078) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |