| NPI | 1316503337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203616) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253807) |
| 104100000X Social Worker (Licence: OH S.1903515) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2023-05-10 |