| NPI | 1558147413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6851118581) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2024-06-27 |