| NPI | 1689896565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0600517) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-01-03 |