| NPI | 1306219449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851104766) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2023-05-16 |