| NPI | 1285257592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203645) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1904575) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2022-10-27 |