NPI | 1508319179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901989-SUPV) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1502364) |
Enumeration Date | 2016-07-29 |
Last Update Date | 2022-01-28 |