| NPI | 1487190948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801065849) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301003006) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |