| NPI | 1639482565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1901740) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: AL 2256c) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I0800256) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2024-09-12 |