| NPI | 1245603489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080696) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2024-06-18 |