| NPI | 1477758290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: OH S.2512349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 06476) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2026-04-23 |