| NPI | 1902202609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1800936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1303268) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2019-09-30 |