| NPI | 1285180075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW21259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1101567-SUPV) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-04-24 |