| NPI | 1346638392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 10005898S) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 2182 C 0880) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2018-12-26 |