| NPI | 1295913556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5768) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0700421) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2009-11-19 |