| NPI | 1851724298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11521) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 1302807) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2020-02-20 |