| NPI | 1154834224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1800828) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1501058) |
| 1041C0700X Social Worker Clinical (Licence: OH I.1800828) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-04-20 |