| NPI | 1710492905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: I.2608626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2106243) |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2026-08-24 |