| NPI | 1962786285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I2002317) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700235) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2020-09-21 |