| NPI | 1508228958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405484) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600931) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-11-04 |