| NPI | 1578129185 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011279A)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2304837-SUPV)  | 
| Enumeration Date | 2019-05-20 | 
| Last Update Date | 2025-10-28 |