| NPI | 1609540277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801115954) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851104763) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851104763) | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-03-13 |