| NPI | 1588020291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115564) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: FL SW12701) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-01-27 |