| NPI | 1942721675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1901881-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1501157) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-03-02 |