| NPI | 1386095826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099297) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2019-06-24 |