| NPI | 1245766062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002411-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1302238) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-12-28 |