NPI | 1962996728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002129) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S1600635) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2020-04-28 |