| NPI | 1922394584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I1100056) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-01-25 |