| NPI | 1548597214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015695) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091585) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2023-06-21 |