| NPI | 1780059808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114337) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801098060) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2022-04-28 |