NPI | 1841773678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH S.1904363) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2018-09-07 |
Last Update Date | 2020-10-27 |