| NPI | 1740785831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008437) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103514) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-11-02 |