| NPI | 1639488901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1302471) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992261) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2013-06-18 |