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 |