| NPI | 1619325388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801098492) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801098492) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2024-03-20 |