| NPI | 1063773091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801074099) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801074099) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-09-13 |