NPI | 1063888444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH 4379901) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082580-1) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2017-07-24 |