| NPI | 1912662594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2507337) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2309084) |
| 251S00000X Community/Behavioral Health (Licence: OH S.2102130-TRNE) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2025-10-23 |