| NPI | 1396187464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1201471) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094511) |
| 164W00000X Licensed Practical Nurse (Licence: MI 4703091113) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |