| NPI | 1407169642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008616A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 258730) |
| 1041C0700X Social Worker, Clinical (Licence: SD 6904) | |
| 104100000X Social Worker (Licence: OH S.2410246) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2025-09-05 |