| NPI | 1225589468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600671) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00945644) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2022-03-15 |