| NPI | 1922262583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1100071) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0019807) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2013-03-25 |