| NPI | 1811363492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098213) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI l821796) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-06-09 |