| NPI | 1053201483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000275-SUPV) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OH OH3216626) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-08 |