| NPI | 1659812584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103876) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2019-07-15 |