| NPI | 1972753630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.0600074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1600893) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801105366) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2021-11-30 |