| NPI | 1003512419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304469-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0700304) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-10-01 |