| NPI | 1265949226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1701091) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904015480) |
| 1041C0700X Social Worker, Clinical (Licence: KY 259570) | |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2024-08-28 |