| NPI | 1619411840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113766) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802088121) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2021-12-02 |