| NPI | 1205450731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P016145) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802496) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2022-04-25 |