| NPI | 1235158627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2309783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801067098) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.023242) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-10-15 |