| NPI | 1265105134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304601) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 255797) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-08-03 |