| NPI | 1538190178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1986-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0800110 SUPV) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-01-05 |