| NPI | 1548577497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1100135-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017604) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2024-01-12 |