| NPI | 1114256740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0026729-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091783) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2010-01-05 |