| NPI | 1447768056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102088) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60781970) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-10-22 |