| NPI | 1891086435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5261) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3331) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.0900142.SUPV) | |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2011-05-01 |