| NPI | 1891767752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0009509) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-09-17 |