| NPI | 1790295145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1701544) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2020-08-31 |