| NPI | 1679945869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098765) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2019-11-27 |