| NPI | 1306513171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH 1.2304765-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.0031113) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2025-05-31 |