| NPI | 1295244952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801101907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014514) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-03-29 |