| NPI | 1619533205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304808) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090444) |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2025-12-15 |