| NPI | 1902296049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1800824-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1302961) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2020-01-03 |