| NPI | 1487015798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 680189170) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801089170) | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2024-04-19 |