| NPI | 1568923019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2002124-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600856) |
| 1041C0700X Social Worker Clinical (Licence: OH I.2002124) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-02-05 |