| NPI | 1508241605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1801382-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S1600352) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2021-07-14 |