| NPI | 1417921487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2304385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I2304385) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW21042) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-11-06 |