| NPI | 1518401603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I2506917) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY LCSW00001090) |
| 1041C0700X Social Worker, Clinical (Licence: MD 22445) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW21322) | |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2025-08-28 |