| NPI | 1700454113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2102666) |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2021-06-12 |