| NPI | 1801341730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600109) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 17280) |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2016-08-21 |