| NPI | 1306598735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801116006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851106951) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2023-04-25 |