| NPI | 1417442906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2001995) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1500269) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2020-07-21 |