| NPI | 1023620044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930204) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2001266-TRNE) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-03-06 |