| NPI | 1689013542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943713) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 13025051) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2023-01-26 |