| NPI | 1679123830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: I.2305037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH LE-00060303) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2305037-SUPV) | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2026-03-24 |