| NPI | 1710659552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2507207) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2309284) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2102084-TRNE) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2026-01-13 |