| NPI | 1922885706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304840-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 257857) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-04-08 |