| NPI | 1154855708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1600096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH l.901766-S) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-05-26 |