| NPI | 1669642534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103341) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0800034) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2019-05-17 |