| NPI | 1457965139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506624) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005351) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-05-09 |