| NPI | 1790290229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV CP00944240) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2026-01-07 |