| NPI | 1043671001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002482) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 1450398) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2021-01-19 |