| NPI | 1184089583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700368-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1201073) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2020-10-28 |