| NPI | 1417073149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-0900204) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3639) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-08-20 |