| NPI | 1306494398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0600089) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: OH I.0600089) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2020-09-15 |