| NPI | 1366929606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH sz658300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1802281) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-08-14 |