| NPI | 1578116737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2203680) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1904094) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2023-03-24 |