| NPI | 1821161639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801072902) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1601180) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-11-17 |