| NPI | 1780090118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 1600722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S 1303024) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2016-11-14 |