| NPI | 1003269416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10723) |
| 104100000X Social Worker (Licence: OH S.0026442) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801118591) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2025-07-11 |