| NPI | 1740660737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700520) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH S1302609) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2017-08-25 |