| NPI | 1972449247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV BP00946515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2308884) |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |