| NPI | 1043564123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1100185-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I.1100185) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2025-08-27 |