| NPI | 1952541872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.0701223) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703112909) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801094881) | |
| 164W00000X Licensed Practical Nurse (Licence: OH PN.091680) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2014-12-09 |