| NPI | 1770033656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801114030) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802089116) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-07-08 |