| NPI | 1295204592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2203934) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2024-04-19 |