| NPI | 1376836635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1000765) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1000765) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1201558) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1201558-SUPV) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2016-12-09 |