| NPI | 1831695105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19493) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1601089) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2022-09-01 |