| NPI | 1679646178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007109) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 260424) |
| 104100000X Social Worker (Licence: OH I2506721) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2025-06-23 |