| NPI | 1114548609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2305019) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701375) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-06-23 |