| NPI | 1073635801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: IL 149027223) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801101256) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-01-22 |