| NPI | 1689046377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801111207) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096699) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2022-10-06 |