| NPI | 1720208663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1201046) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0012644) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-01-07 |