| NPI | 1801153721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1100102-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I1100102) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2020-07-11 |