| NPI | 1679112015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2405383) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1901216-TRNE) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.2005510) | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2026-04-15 |