| NPI | 1508165515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.0032059) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 0032059) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2025-03-15 |