| NPI | 1144001462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2106193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 257334) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |