| NPI | 1235637968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1800977-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2020-08-21 |