| NPI | 1356810030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801109518) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102788) |
| 104100000X Social Worker (Licence: MI 6801103788) | |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2021-07-22 |