| NPI | 1053921361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903737) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-06-02 |