| NPI | 1124490883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901918-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1510299-TRNE) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1901918) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-03-03 |