| NPI | 1942594825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700226-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018333) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2025-11-24 |