| NPI | 1356898423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801101924) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06196200) |
| 104100000X Social Worker (Licence: NY 097916) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-01-12 |