| NPI | 1609367267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203907) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH APP.000134562) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2023-01-23 |