| NPI | 1538631528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012947) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801109025) |
| 104100000X Social Worker (Licence: MI 6801103628) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 27505) | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2022-08-03 |