| NPI | 1780876946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006373A) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-03-10 |