| NPI | 1245710300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103324) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: OH S.1903812) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2026-08-17 |