| NPI | 1619484052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1701109) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-11-04 |