| NPI | 1942514260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1502453) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0900928) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2023-02-23 |