| NPI | 1972975720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY LCSW00001730) |
| 104100000X Social Worker (Licence: OH I.2608418) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2026-08-12 |