| NPI | 1386151629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801102977) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851102977) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-08-09 |