| NPI | 1962857029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0008902-SUPV) |
| Additional Taxonomies | 251S00000X (Licence: OH I.0008902) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-05-15 |