| NPI | 1700307394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2411191) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802089431) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-10-02 |