| NPI | 1457896946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I2002056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106913) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-02-16 |