| NPI | 1093224024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098382) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2018-03-17 |