| NPI | 1235638974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103007) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700135-TRNE) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1802633) | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2022-01-12 |