| NPI | 1962129056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2203795-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2203795) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2024-09-20 |