| NPI | 1114496098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204037) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600338) |
| 104100000X Social Worker (Licence: OH I.2204037) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801119883) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2025-05-15 |