| NPI | 1831525955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21942) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH LISW-I2507477) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2026-04-27 |