| NPI | 1609323542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103067) |
| Additional Taxonomies | 104100000X Social Worker (Licence: S.1000985) |
| 251S00000X | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2022-02-01 |