| NPI | 1770272122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2309071) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2507220) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-09-23 |