| NPI | 1376890970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0010205) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010011503) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2021-12-14 |