| NPI | 1215379185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801094943) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: HI LCSW-4130) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2022-07-21 |