| NPI | 1619396603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085300) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-11-20 |