| NPI | 1821654914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801099466) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801099466) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2021-06-28 |