| NPI | 1568863108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1700203) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1450376) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2017-06-06 |