| NPI | 1871745810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I7543) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 121651) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2026-03-13 |