| NPI | 1629685391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW25784) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2204147-SUPV) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2026-04-30 |