| NPI | 1629635941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002103) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1501068) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2020-06-30 |