| NPI | 1265914279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801089942) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-07-09 |