| NPI | 1376997569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851110117) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802088900) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801110117) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-09-22 |