| NPI | 1184468530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I2203995-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001046) |
| 104100000X Social Worker (Licence: VA 0904018646) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2203995-SUPV) | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2025-09-25 |