| NPI | 1902838675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801129) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-01-03 |