| NPI | 1053754937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.0900287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0900287) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-12-20 |