| NPI | 1982078481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2405792-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088102) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW20253) | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2025-12-06 |