| NPI | 1154824175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802091057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1600929) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2021-07-09 |