| NPI | 1902536469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.2507089) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-09-10 |