| NPI | 1710225560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64643) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0701554) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2025-08-15 |