NPI | 1013462886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405738) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1400167) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2024-11-25 |