| NPI | 1861531576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA S116962) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2102887) |
| 104100000X Social Worker (Licence: SC 8764) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2026-03-24 |