| NPI | 1497736912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 53853) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6074) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-01-11 |