| NPI | 1073004776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002253) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH s.1701484) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-07-23 |