| NPI | 1770714503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1.0900013-S) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I 0900013) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2021-04-29 |