| NPI | 1417503160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304236) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1900922-TRNE) |
| 1041C0700X Social Worker, Clinical (Licence: KY 257460) | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2023-06-26 |