| NPI | 1063052801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2513070) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH s.2513070) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2026-01-23 |