| NPI | 1336677004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801106885) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 5801106885) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-04-13 |