| NPI | 1649643933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851116850) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: MI 6851116850) | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2025-02-06 |