| NPI | 1265722813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-0900183-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.0900183-SUPV) |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2023-03-02 |