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 |