NPI | 1720809452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405917) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH I.2405917) |
Enumeration Date | 2024-10-24 |
Last Update Date | 2024-11-05 |