| NPI | 1881157121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2005442) |
| 175T00000X Peer Specialist (Licence: OH 206) | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2022-12-12 |