| NPI | 1417109141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7257) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I9262) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2025-03-17 |