| NPI | 1700501301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100408) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05692200) |
| 104100000X Social Worker (Licence: PA SW137541) | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |