| NPI | 1780942151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094668) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802085062) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2021-10-03 |