| NPI | 1538512116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802087688) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 685110431) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2022-09-13 |