| NPI | 1619499472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1450670) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103781) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2019-05-16 |