| NPI | 1497277388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801115301) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801115301) |
| 1041C0700X Social Worker, Clinical (Licence: CA 110046) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2023-03-15 |