| NPI | 1609418169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801114451) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801114451) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2024-08-22 |