| NPI | 1487908869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1302689) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1200302-TRNE) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2013-10-31 |