| NPI | 1386811552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000113) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: OH S0800306) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2010-05-11 |