| NPI | 1588985030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1200583) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0700120) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2012-06-21 |