| NPI | 1013766955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV BP00946877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 259797) |
| 1041C0700X Social Worker, Clinical (Licence: OH s.2411703) | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-01-21 |