| NPI | 1225551641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012888) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I.2103000) |
| 1041C0700X Social Worker Clinical (Licence: FL SW19495) | |
| 1041C0700X Social Worker Clinical (Licence: NC P011694) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-04-21 |