| NPI | 1649374034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0005633) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I5633) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-05-24 |