| NPI | 1700164332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0007122-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I7122) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2021-03-17 |