| NPI | 1588097844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1302457-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I 1302457) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2020-09-09 |