| NPI | 1821589789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11152697) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802359) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2022-02-01 |