| NPI | 1609290972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802079571) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2022-03-16 |