NPI | 1104333475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103070) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802187) |
1041S0200X Social Worker, School | |
101Y00000X Counselor | |
Enumeration Date | 2018-01-08 |
Last Update Date | 2022-04-12 |