| NPI | 1225280142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008433) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1101613-SUPV) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2025-11-19 |