| NPI | 1053730234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801072026) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801072026) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-12-19 |