| NPI | 1659744571 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 6000)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1200536)  | 
| Enumeration Date | 2015-11-02 | 
| Last Update Date | 2015-11-02 |