| NPI | 1730587130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 0009613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023749) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2025-11-28 |