| NPI | 1720544422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61276536) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2103039) |
| 104100000X Social Worker (Licence: OH S.1903292) | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2023-12-14 |