| NPI | 1366431223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 10500062) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 10500062) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2008-08-19 |