| NPI | 1003597592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2405570) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 258052) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-08-16 |