| NPI | 1487035200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800150 SUPV) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OH OH1285861) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |