| NPI | 1710423983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253687) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1200776) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1700457) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-12-13 |