| NPI | 1912597956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11799) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1101380) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2021-01-23 |