| NPI | 1497072417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9798C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801074252) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2024-08-05 |