| NPI | 1154936839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2304847) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005428) |
| 1041C0700X Social Worker Clinical (Licence: OH S.2005428) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-10-02 |