| NPI | 1942710470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 258573) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701684) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2025-06-16 |