NPI | 1376959551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1201090-SUPV) |
Additional Taxonomies | 104100000X Social Worker (Licence: NV 6405-S) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2020-01-03 |