| NPI | 1609238476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098218) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-12-08 |