NPI | 1265106199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304320-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: OH S.2004983) | |
Enumeration Date | 2021-08-04 |
Last Update Date | 2024-04-30 |