| NPI | 1295166379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095851) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2021-03-10 |