| NPI | 1679112015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2005510) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1901216-TRNE) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2021-03-25 |