| NPI | 1821001553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S-0020265) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F 108) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |