| NPI | 1700376787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2203709) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700244) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2024-02-10 |