| NPI | 1134515331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 70823) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801094393) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-08-08 |