| NPI | 1184193211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801113486) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-06-07 |