| NPI | 1336298819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089570) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-12-30 |