| NPI | 1700345949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1700592-SUPV) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2022-08-23 |