| NPI | 1306193602 |
|---|---|
| Other Name | LISA OTTENHOFF MSW CSW ACSW |
| Entity Type | Organization |
| Authorized Contact | LISA OTTENHOFF Owner 269-964-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801065659) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2021-06-11 |