| NPI | 1912409855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901705) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1501107) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2021-06-15 |