| NPI | 1053557926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801088033) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2020-07-22 |