| NPI | 1144816257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.0023456) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0023456) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2021-10-11 |