| NPI | 1568607430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115410) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I1000253) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2024-08-28 |