| NPI | 1851819700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 109360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2002095) |
| 104100000X Social Worker (Licence: OH S.1903446) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2021-03-26 |