| NPI | 1619594975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012950) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106483) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |