| NPI | 1962944678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1901964) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I1901964) |
| 104100000X Social Worker (Licence: OH S.1200643) | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2020-12-18 |