| NPI | 1306207881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114859) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018251) |
| 1041C0700X Social Worker, Clinical (Licence: NC C012553) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2023-10-17 |