| NPI | 1124504725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 105746) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2106234) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-11-08 |