| NPI | 1629222062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9923405) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.2608123) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2026-05-06 |