| NPI | 1255048500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 258821) |
| 104100000X Social Worker (Licence: OH S.2410265) | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2025-06-23 |