| NPI | 1669849998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102894) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1501022) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2021-11-29 |