| NPI | 1295279743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099885) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099885) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2018-08-03 |