| NPI | 1184149643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002227) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1200504) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2021-05-21 |