| NPI | 1669143558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801116239) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851107094) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-01-15 |