| NPI | 1528205655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303088.SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1303088) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.0701361-TRNE) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2019-01-03 |