| NPI | 1871945642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1600038) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2020-08-05 |