| NPI | 1124563630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2304412) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 68763) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2025-08-20 |