| NPI | 1821452061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099489) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC06229400) |
| 104100000X Social Worker (Licence: OH I.2203611) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-04-02 |