| NPI | 1790886729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH s.0023140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801081326) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |