| NPI | 1750910709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203414-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254707) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-03-13 |