| NPI | 1154824191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104971) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802089159) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2019-07-10 |