| NPI | 1760815898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1000220 Supv) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00944040) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |