| NPI | 1558520908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12311) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 0800004) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2021-06-25 |