| NPI | 1114403896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1.2103237) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1801903) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-12-08 |