| NPI | 1942747035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S 1500598) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802087966) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2018-03-17 |