| NPI | 1104663509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405232) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34011052A) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801117240) | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |