| NPI | 1972056505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901909) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1201487) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2020-03-27 |