| NPI | 1285888040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303376-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801092302) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2021-10-19 |