| NPI | 1104374958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103102) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600832) |
| 251S00000X | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-03-01 |