| NPI | 1467228601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801068697) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801068697) |
| 1041C0700X Social Worker Clinical (Licence: OH I.0900008-SUPV) | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-01-29 |