| NPI | 1639793136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0009862) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 4327207) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |