| NPI | 1639793136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0009862-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 32922) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23471) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2025-09-24 |