| NPI | 1639664402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2002260-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 130400) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2026-05-13 |