| NPI | 1104121185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801087359) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2021-03-29 |