| NPI | 1356716401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I2507032) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701717) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2025-08-11 |