| NPI | 1407300916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002203) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600556) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2022-11-17 |