| 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 |