| NPI | 1750930319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103163) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1903568) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-12-29 |