| NPI | 1386846202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1800932-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089136) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-08-05 |