| NPI | 1205195591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106757) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 2472910) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2022-02-24 |