| NPI | 1386235406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2105882) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 255298) |
| 1041C0700X Social Worker, Clinical (Licence: NC C017168) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2025-06-24 |