| NPI | 1023502036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1904105) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-03-09 |