| NPI | 1922609577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203769) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701676) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2022-09-15 |