| NPI | 1780040360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1700231) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S. 1351132) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2020-04-03 |