| NPI | 1912482597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405436) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1803052) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-06-05 |