NPI | 1528256278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0009356-SUPV) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-10-09 |
Last Update Date | 2021-03-01 |