| NPI | 1659998615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204019) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005045) |
| 251S00000X | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-06-22 |