NPI | 1083108542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801275) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S1502357) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2022-05-10 |