NPI | 1679086763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1903995) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251S00000X | |
Enumeration Date | 2017-11-10 |
Last Update Date | 2021-01-28 |