| NPI | 1679815468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008065A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0701524) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-01-31 |