| NPI | 1639166051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 0700121.SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S00031519) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2022-04-25 |