| NPI | 1922520055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1701031) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M9061) |
| 104100000X Social Worker (Licence: MI 6801101137) | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2019-07-01 |