| NPI | 1295383529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700489-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008312A) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |