| NPI | 1912505819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2406060) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1803234) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-11-15 |