| NPI | 1255606703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801089717) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C015808) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-08-23 |