| NPI | 1104402486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2309458) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: OH S.2101745.TRNE) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-07-12 |