| NPI | 1518673151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0900370-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-10-17 |