| NPI | 1952947673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405178) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 260293) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2026-07-07 |