| NPI | 1366215477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 07328) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.2608239) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2026-07-29 |