| NPI | 1760984694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2203712) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1700241-TRNE) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-11-01 |