| NPI | 1306886098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I-0008556) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: BCD#29421) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |