| NPI | 1144351552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801101509) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 21204) |
| 1041C0700X Social Worker, Clinical (Licence: NY R-041170-1) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-09-27 |