| NPI | 1427416510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6527) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-0800179-SUPV) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2017-05-05 |