NPI | 1730679556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203764-SUPV) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S27221) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2024-12-23 |