| NPI | 1154771525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600247-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1600247) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-08-18 |