| NPI | 1285287862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106817) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102305) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-07-20 |