| NPI | 1982092979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1500678) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2021-06-28 |