| NPI | 1023745254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S1802347) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH S.1802347) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-12-15 |