| NPI | 1649631664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 20444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1801260) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2025-06-02 |