| NPI | 1104471200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103043) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1801919) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2021-09-07 |