| NPI | 1962111567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0600053-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041C0700X Social Worker Clinical (Licence: IN 34010905A) | |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2024-12-09 |