| NPI | 1609319870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103178-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S. 1600399) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2023-06-26 |