| NPI | 1356772859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 15038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802086684) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2024-02-06 |