| NPI | 1053829218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: I.2204170) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1502370) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2025-08-19 |