| NPI | 1346795739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104491) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2021-04-03 |