| NPI | 1275806879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303572-SUPV) |
| Additional Taxonomies | 251S00000X |
| 104100000X Social Worker (Licence: OH S.0901492) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2021-02-24 |