| NPI | 1851887574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2102903-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802254) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2025-06-19 |