| NPI | 1366883134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A3197) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2023-05-05 |