| NPI | 1144527516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 22283) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089864) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2025-02-23 |