| NPI | 1588994107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098351) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 16241) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2023-04-06 |