| NPI | 1194218974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 2203823) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1500510) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-04-16 |