| NPI | 1720132129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7525) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801081590) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-01-15 |