| NPI | 1225693922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096907) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA sw142162) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61634715) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2025-01-21 |