| 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 |