| NPI | 1740661230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098099) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2018-03-17 |