| NPI | 1588376966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2102854) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2024-09-26 |