| NPI | 1922309541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1000350) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2016-11-30 |