| NPI | 1962655746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH LISW-SI.0008940) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I0008940 SUPV) |
| 1041C0700X Social Worker, Clinical (Licence: C-SWHC) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2019-06-03 |