| NPI | 1093363582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304242) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1803174) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-02-01 |