| NPI | 1992213391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255588) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1801311) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-12-19 |