| NPI | 1063936656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801097467) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097467) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2020-07-22 |