| NPI | 1700055373 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800038-SUPV)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0800038)  | 
| Enumeration Date | 2008-02-27 | 
| Last Update Date | 2019-01-14 |