| NPI | 1396243374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2102734-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: OH S.1802237) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2022-09-27 |