| NPI | 1790043818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3606C) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2607653) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2026-01-12 |