| NPI | 1619683174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2607892) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 110679) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2026-03-16 |