| NPI | 1215200423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: 6852089481) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801092114) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801092114) | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2023-05-04 |