| NPI | 1649859455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2203567) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2106013) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-04-29 |