| NPI | 1447524848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801088635) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801088635) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2022-06-21 |