| NPI | 1255799110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500816-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1500816) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2023-10-10 |