| NPI | 1538170477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 0007856) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1018) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-06 |