| NPI | 1871129270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945739) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00945739) |
| 104100000X Social Worker (Licence: OH S.2005345) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2204135) | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2023-01-05 |