| NPI | 1396299442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09924360) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801117714) | |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2024-03-26 |