| NPI | 1063299030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2507259) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1451276) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2025-10-03 |