| NPI | 1104170232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006602A) |
| 104100000X Social Worker (Licence: MI 6801100387) | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2020-12-16 |