| NPI | 1437669041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW006815) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1451139) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2021-10-04 |