| NPI | 1811448525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 1600632) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP02942766) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2017-04-06 |