| NPI | 1780187419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1800987) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1500392) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-05-23 |