| NPI | 1619487931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252941) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019031847) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2102679) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2025-06-05 |