| NPI | 1386918910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI P715114) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI L2547191) |
| 1041C0700X Social Worker, Clinical (Licence: MI L1788972) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2021-09-01 |