| NPI | 1245784628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW125370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600688) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2026-01-27 |