| NPI | 1538751532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022885) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801103790) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2024-10-10 |