| NPI | 1215319181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1800985) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1500744) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2019-04-16 |