| NPI | 1104620533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2511994) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2511994) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2026-07-06 |