| NPI | 1750669545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 1100014) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2025-03-10 |