| NPI | 1306243332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801097237) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801097237) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2022-02-02 |