| NPI | 1457881310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801108788) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801100549) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-01-19 |