| NPI | 1649562885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0027648-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00943612) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011629) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C009470) | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2021-09-21 |