| NPI | 1891177416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006685) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1500784) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-10-21 |