| NPI | 1558591974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6802082374) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I.1302273) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2022-01-19 |