| NPI | 1568828119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108567) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101423) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801101423) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2021-01-07 |