| NPI | 1538531256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098767) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2021-07-05 |