NPI | 1861799942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500268-SUPV) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1001012-TRNE) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2023-12-12 |