| NPI | 1700394574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114814) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.023773) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2025-03-25 |