| NPI | 1164851309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801096127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096127) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2019-01-28 |