| NPI | 1376786715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118949) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I. 0700071) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2020-08-28 |