| NPI | 1013202456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801092438) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801092438) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2021-04-28 |