| NPI | 1407305758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW008031) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2025-11-13 |